NUR 242 Exam #3 Study Guide Review
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ALREADY
GRADED A+
Oligohydramnios i- icorrect iAnswers i✔✔ i-___ iis ia idecreases iamount iof iamniotic ifluid i(<500 imL)
ibetween i32 iand i36 iweeks' igestation.
Clonus i- icorrect iAnswers i✔✔ i-___ iis ithe ipresence iof irhythmic iinvoluntary icontractions, imost ioften
iin ithe ifoot ior iankle.
latent i- icorrect iAnswers i✔✔ i-The itime iinterval ifrom irupture iof imembranes ito ithe ionset iof iregular
icontractions iis itermed ithe i___ iperiod.
hyperreflexia i- icorrect iAnswers i✔✔ i-Brisk ireflexes, ior i___, iis ia icommon ipresenting isymptom iof
ipreeclampsia iand iis ithe iresult iof ian iirritable icortex.
incompatibility i- icorrect iAnswers i✔✔ i-Rh i___ iis ia icondition ithat idevelops iwhen ia iwoman iwith iRh-
negative iblood itype iis iexposed ito iRh-positive iblood icells iand isubsequently idevelops icirculating ititers
iof iRh iantibodies.
Monozygotic i- icorrect iAnswers i✔✔ i-___ itwins idevelop iwhen ia isingle, ifertilized iovum isplits iduring
ithe ifirst i2 iweeks iafter iconception.
infection i- icorrect iAnswers i✔✔ i-A ifoul iodor iof iamniotic ifluid iindicates i___.
spontaneous i- icorrect iAnswers i✔✔ i-A i___ iabortion irefers ito ithe iloss iof ia ifetus iresulting ifrom
inatural icauses---that iis, inot ielective ior itherapeutically iinduced iby ia iprocedure.
first i- icorrect iAnswers i✔✔ i-The imost icommon icause ifor i___ itrimester iabortions iis ifetal igenetic
iabnormalities, iusually iunrelated ito ithe imother.
Gestational i- icorrect iAnswers i✔✔ i-___ ihypertension iis icharacterized iby ihypertension iwithout
iproteinuria iafter i20 iweeks' igestation iand ia ireturn iof ithe iblood ipressure ito inormal ipostpartum.
,Loss iof ian iearly ipregnancy, iusually ibefore ithe i20th iweek iof igestation. i- icorrect iAnswers i✔✔ i-
Spontaneous iabortion
Pregnancy iin iwhich ithe ifertilized iovum iimplants ioutside iof ithe iuterine icavity. i- icorrect iAnswers i✔✔
i-Ectopic ipregnancy
Spectrum iof ineoplastic idisorders ithat ioriginate iin ithe ihuman iplacenta. i- icorrect iAnswers i✔✔ i-
Gestational itrophoblastic idisease
Weak, istructurally idefective icervix ithat ispontaneously idilates iin ithe iabsence iof icontractions iin ithe
isecond itrimester, iresulting iin ithe iloss iof ipregnancy. i- icorrect iAnswers i✔✔ i-Cervical iinsufficiency
Painless ibleeding icondition ithat ioccurs iin ithe ilast itwo itrimesters iof ipregnancy. i- icorrect iAnswers
i✔✔ i-Placenta iprevia
1. iPlace ithe iwoman iin ithe isupine iposition
2. iHave ithe iwoman iflex iher iknee islightly
3. iPlace ia ihand iunder ithe iknee ito isupport ithe ileg iand ilocate ithe ipatellar itendon
4. iUsing ia ireflex ihammer ior ithe iside iof ithe ihand, istrike ithe iarea iof ithe ipatellar itendon ifirmly iand
iquickly
5. iNote ithe imovement iof ithe ileg iand ifoot
6. iRepeat ithe iprocedure ion ithe iopposite ileg i- icorrect iAnswers i✔✔ i-Steps ifor iassessing ithe ipatellar
ireflex
Dehydration, ielectrolyte iimbalance, iketosis, imalnutrition, ipersistent, iuncontrollable inausea, iacid-base
iimbalances, iand iweight iloss. iIf ithe icondition ipersists iand iis iallowed ito icontinue, iit ijeopardizes ifetal
iwell-being. i- icorrect iAnswers i✔✔ i-What iare isome iof ithe ipossible icomplications iof ihyperemesis
igravidarum?
Spontaneous iearly iabortion, iuterine ifibroids, iectopic ipregnancy, iGTD, iand icervical iinsufficiency. i-
icorrect iAnswers i✔✔ i-What iare ithe iconditions iassociated iwith iearly ibleeding iduring ipregnancy?
The ijourney iis iarrested ior ialtered iin isome iway; iphysical iblockage, ifailure iof ithe itubal iepithelium ito
imove ithe izygote idown ithe itube iinto ithe iuterus, itubal iscarring id/t iPID, iNeisseria igonorrhea,
ichlamydia itrachomatis, iprevious itubal isurgery, iinfertility, iPID, iprevious ipregnancy iloss, iuse iof iIUD,
iprevious iectopic ipregnancy, iuterine ifibroids, isterilization, ismoking, ihistory iof imultiple isexual
ipartners, iuse iof iprogestin-only ioral icontraceptives, idouching, iand iexposure ito iDES. i- icorrect
iAnswers i✔✔ i-What iare ithe icauses iof iectopic ipregnancy?
Previous ipregnancy icomplicated iby ihyperemesis, imolar ipregnancies, ihistory iof ihelicobactor ipylori
iinfection, imultiple igestation, ipregnancy iwith ihistory iof igenitourinary idisorder, iclinical ihyperthyroid
, idisorders, iand ipre-pregnancy ipsych idiagnosis. i- icorrect iAnswers i✔✔ i-What iare ithe irisk ifactors ifor
ihyperemesis igravidarum?
Reduce irisk ifactors isuch ias isexual iintercourse iwith imultiple ipartners, iavoid icontracting ian iSTI iwhich
ileads ito iPID, iobtain iearly idiagnosis iand itreatment iof iSTI, iwith iIUD idescriptions iof ithe is/s iof iPID
ishould ibe iincluded ito ireduce ithe irisk iof irepeat iascending iinfections iwhich ican ibe iresponsible ifor
itubal iscarring, iavoid ismoking, iuse icondoms, iseek iprenatal icare iearly. i- icorrect iAnswers i✔✔ i-What
ishould ia inurse iinclude iin iprevention ifor iectopic ipregnancies?
Detects ifetal iRBC's iin ithe imaternal icirculation, idetermines idegree iof imaternal ihemorrhage, iand
ihelps icalculate ithe iappropriate idosage iof iRhoGam. i- icorrect iAnswers i✔✔ i-What iis ithe iKleihauer-
Betke itest?
Eat ismall, ifrequent imeals ithroughout ithe iday. i- icorrect iAnswers i✔✔ i-A ipregnant iclient iwith
ihyperemesis igravidarum ineeds iadvice ion ihow ito iminimize inausea iand ivomiting. iWhich iinstruction
ishould ithe inurse igive ithis iclient?
Assess ithe iclient's itemperature. i- icorrect iAnswers i✔✔ i-When icaring ifor ia iclient iwith iPROM, ithe
inurse iobserves ian iincrease iin ithe iclient's ipulse. iWhat ishould ithe inurse ido inext?
Fetal idistress ir/t ihypoxia. i- icorrect iAnswers i✔✔ i-A inurse iis imonitoring ia iclient ifor iPROM iwho iis iin
ilabor iand iobserves imeconium iin ithe iamniotic ifluid. iWhat idoes ithis iindicate?
Keep ithe isuction iequipment ireadily iavailable. i- icorrect iAnswers i✔✔ i-The inurse iis icaring ifor ia
ipregnant iclient iwith isevere ipreeclampsia. iWhich inursing iinterventions ishould ithe inurse iperform ito
iinstitute ito imaintain iseizure iprecautions iin ithis iclient?
Assess ideep itendon ireflexes. i- icorrect iAnswers i✔✔ i-A iclient iwith ipreeclampsia iis ireceiving
imagnesium isulfate ito isuppress ior icontrol iseizures. iWhich inursing iintervention ishould ia inurse
iperform ito idetermine ithe ieffectiveness iof ithe itreatment?
A iclient iwho ihad ia imyomectomy ito iremove ifibroids. i- icorrect iAnswers i✔✔ i-A inurse iis iassessing
ipregnant iclients ifor ithe irisk iof iplacenta iprevia. iWhich iof ithe ifollowing iclients iface ithe igreatest irisk
ifor ithis icondition?
Lateral irecumbent iposition i- icorrect iAnswers i✔✔ i-A iclient iis iseeking iadvice ifor ihis ipregnant iwife,
iwho iis iexperiencing imild ielevations iin iblood ipressure. iIn iwhich iposition ishould ia inurse irecommend
ithe iclient ilay?
Administer iIV iNS iwith ivitamins iand ielectrolytes. i- icorrect iAnswers i✔✔ i-A inurse iis icaring ifor ia iclient
iwith ihyperemesis igravidarum. iWhich inursing iaction iis ia ipriority ifor ithis iclient?
'Knife-life" iabdominal ipain iwith ibleeding. i- icorrect iAnswers i✔✔ i-A inurse ihas ibeen iassigned ito
iassess ia iclient iwith iabruptio iplacenta. iFor iwhich iclassic imanifestation iof ithis icondition ishould ithe
inurse iassess?
